Chronic Illness and Older Adults Lewis: Medical-Surgical Nursing, 10th Edition

A&E xI xComprehensive
xTestbank




Table of Contents
x x



Week 1 Care of Older Adults: Culture, Spirituality, Communication,
x x x x x x x x


Sexuality, Infection Control
x x x



Chronic xIllness xand xOlder xAdults 3
x Cultural xAwareness 10
Older xAdult 18
Communication 28
Patient xEducation 39
Infection xPrevention xand xControl 51
Sexuality 69
Spiritual xHealth 78
Week 2 Critical Thinking, The Nursing Process, Loss, Death, and Grief
x x x x x x x x x x



Critical xThinking xin xNursing xPractice 86
Nursing xAssessment 94
Nursing xDiagnosis 102
Planning xNursing xCare 110
x Implementing xNursing 119
Care x Evaluation
x 128
The xExperience xof xLoss, xDeath xand xGrief 136
Week 3 Safety and Fall Prevention among Older Adults, Preventing
x x x x x x x x x


Complications of Immobility
x x x



Patient xSafety xand 146
Quality xImmobility
x 163
Activity xand xExercise 181
Week 4 Skin and Wound Care Hygiene, Introduction to Pharmacology
x x x x x x x x x


and Medication Administration
x x x x



Medication xAdministration 194
x Hygiene 212
Skin xIntegrity xand xWound xCare 231
Week 5 Fluid & Electrolytes, Dehydration
x x x x x



Fluid, xElectrolyte xand xAcid-Base xBalance 251
Week 6 Pain and Sleep
x x x x




1

, A&E xI xComprehensive
xTestbank



Pain xManagement 268
Sleep
x 280
Week 7 Concepts related to Oxygenation, Circulation, and Tissue Perfusion,
x x x x x x x x x


Chronic Obstructive Pulmonary Disease
x x x



Oxygenation 295
Obstructive xPulmonary xDiseases 314
Week 8 Diabetes Mellitus
x x x



Diabetes xMellitus 331
Week 9 Hypertension, Stroke
x x x



Hypertension 341
x Stroke 356
Week 10 Documentation and
x x x

Informatics
x



Documentation and Informatics x x 368
Week 11 Nutrition, Dysphagia
x x x x 382
x x Week 12 Care of the Surgical Patient
x x x x x x 398


Week 1 x




Care of Older Adults: Culture, Spirituality, Communication,
x x x x x x



Sexuality, Infection Control x x x




Chapter 05: Chronic Illness and Older Adults Lewis: Medical-Surgical Nursing,
x x x x x x x x x


10th Edition
x x


MULTIPLE xCHOICE
1. When xcaring xfor xan xolder xpatient xwith xhypertension xwho xhas xbeen xhospitalized xafter xa
x transient xischemic x(TIA), xwhich xtopic xis xthe xmost ximportant xfor xthe xnurse xto xinclude xin xthe
x discharge x teaching?
a) Effect xof xatherosclerosis xon xblood xvessels
b) Mechanism xof xaction xof xanticoagulant xdrug xtherapy
c) Symptoms xindicating xthat xthe xpatient xshould xcontact xthe xhealth xcare xprovider
d) Impact xof xthe xpatient’s xfamily xhistory xon xlikelihood xof xdeveloping xa xserious xstroke
ANS: xC
One xof xthe xtasks xfor xpatients xwith xchronic xillnesses xis xto xprevent xand xmanage xa xcrisis. xThe
2

, A&E xI xComprehensive
patient
x xTestbank




3

, A&E xI xComprehensive
xTestbank



needs xinstruction xon xrecognition xof xsymptoms xof xhypertension xand xTIA xand xappropriate
xactions xto xtake xif xthese xsymptoms xoccur. xThe xother xinformation xmay xalso xbe xincluded xin

xpatient xteaching xbut x is xnot xas xessential xin xthe xpatient’s xself-management xof xthe xillness.



2. The xnurse xperforms xa xcomprehensive xassessment xof xan xolder xpatient xwho xis
x considering xadmission xto xan xassisted xliving xfacility. xWhich xquestion xis xthe xmost
x important xfor xthe xnurse xto x ask?
a) “Have xyou xhad xany xrecent xinfections?”
b) “How xfrequently xdo xyou xsee xa xdoctor?”
c) “Do xyou xhave xa xhistory xof xheart xdisease?”
d) “Are xyou xable xto xprepare xyour xown xmeals?”
ANS: xD
The xpatient’s xfunctional xabilities, xrather xthan xthe xpresence xof xan xacute xor xchronic xillness, xare
xmore x useful xin xdetermining xhow xwell xthe xpatient xmight xadapt xto xan xassisted xliving xsituation.

xThe xother xquestions xwill xalso xprovide xhelpful xinformation xbut xare xnot xas xuseful xin xproviding

xa xbasis xfor xdetermining xpatient xneeds xor xfor xdeveloping xinterventions xfor xthe xolder xpatient.


3. An xalert xolder xpatient xwho xtakes xmultiple xmedications xfor xchronic xcardiac xand xpulmonary
xdiseases xlives xwith xa xdaughter xwho xworks xduring xthe xday. xDuring xa xclinic xvisit, xthe xpatient
xverbalizes xto xthe xnurse xthat xshe xhas xa xstrained xrelationship xwith xher xdaughter xand xdoes xnot
xenjoy xbeing xalone xall xday. xWhich xnursing xdiagnosis xshould xthe xnurse xassign xas xthe

xpriority xfor xthis x patient?



a) Social xisolation xrelated xto xfatigue
b) Risk xfor xinjury xrelated xto xdrug xinteractions
c) Caregiver xrole xstrain xrelated xto xfamily xemployment xschedule
d) Compromised xfamily xcoping xrelated xto xthe xpatient’s xcare xneeds
ANS: xB
The xpatient’s xage xand xmultiple xmedications xindicate xa xrisk xfor xinjury xcaused xby xinteractions
x between xthe xmultiple xdrugs xbeing xtaken xand xa xdecreased xdrug xmetabolism xrate. xProblems

xwith xsocial xisolation, xcaregiver xrole xstrain, xor xcompromised xfamily xcoping xare xnot


xphysiologic x priorities. xDrug–drug xinteractions xcould xcause xthe xmost xharm xto xthe xpatient xand

xare xtherefore xthe x priority.


4. Which xmethod xshould xthe xnurse xuse xto xgather xthe xmost xcomplete xassessment xof xan
x older xpatient?
a) Review xthe xpatient’s xhealth xrecord xfor xprevious xassessments.
b) Use xa xgeriatric xassessment xinstrument xto xevaluate xthe xpatient.
c) Ask xthe xpatient xto xwrite xdown xmedical xproblems xand xmedications.
d) Interview xboth xthe xpatient xand xthe xprimary xcaregiver xfor xthe xpatient.



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